Skip to main content
British Journal of Sports Medicine logoLink to British Journal of Sports Medicine
. 2002 Oct;36(5):346–353. doi: 10.1136/bjsm.36.5.346

Problems in health management of professional boxers in Japan

G Ohhashi 1, S Tani 1, S Murakami 1, M Kamio 1, T Abe 1, J Ohtuki 1, J Estwanik 1
PMCID: PMC1724555  PMID: 12351332

Abstract

Objective: To investigate whether the incidence of boxing accidents is higher in Japan than in other countries.

Method: A nationwide survey of boxers was conducted.

Results: A total of 632 boxers responded. Most Japanese boxers were relatively mature when they started boxing (mean starting age of 19.2 years). A high percentage of boxers was found three weight divisions higher than previously reported. Many boxers stated that losing weight was not a big problem. It was found that a punch that turns the head can cause serious physical damage, and it was clarified that only a simple punch, rather than accumulated damage from multiple punches, can cause cerebral concussion. Severe shock causing retrograde amnesia is very rare after a fight and disappears relatively quickly. Many additional symptoms are related to damage to the hearing organs, such as hearing difficulties, tinnitus, and vertigo, but these symptoms also resolve quickly. Many boxers experience memory disturbance, not just after a fight but in daily life.

Conclusion: The approach to boxing has become more oriented towards the method of practice and scientific training, rather than psychological factors, which used to be emphasised.

Full Text

The Full Text of this article is available as a PDF (495.4 KB).

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bailes J. E., Cantu R. C. Head injury in athletes. Neurosurgery. 2001 Jan;48(1):26–46. doi: 10.1097/00006123-200101000-00005. [DOI] [PubMed] [Google Scholar]
  2. Barth J. T., Macciocchi S. N., Giordani B., Rimel R., Jane J. A., Boll T. J. Neuropsychological sequelae of minor head injury. Neurosurgery. 1983 Nov;13(5):529–533. doi: 10.1227/00006123-198311000-00008. [DOI] [PubMed] [Google Scholar]
  3. Binder L. M. Persisting symptoms after mild head injury: a review of the postconcussive syndrome. J Clin Exp Neuropsychol. 1986 Aug;8(4):323–346. doi: 10.1080/01688638608401325. [DOI] [PubMed] [Google Scholar]
  4. Bohnen N., Jolles J., Twijnstra A. Neuropsychological deficits in patients with persistent symptoms six months after mild head injury. Neurosurgery. 1992 May;30(5):692–696. [PubMed] [Google Scholar]
  5. Cantu R. C. Second-impact syndrome. Clin Sports Med. 1998 Jan;17(1):37–44. doi: 10.1016/s0278-5919(05)70059-4. [DOI] [PubMed] [Google Scholar]
  6. Enzenauer R. W. Let's stop boxing in the Olympics and the US military. JAMA. 1994 Dec 21;272(23):1821–1821. [PubMed] [Google Scholar]
  7. Evans R. W. The postconcussion syndrome and the sequelae of mild head injury. Neurol Clin. 1992 Nov;10(4):815–847. [PubMed] [Google Scholar]
  8. Fiore D. C. Boxing: does the size of the prize affect the drain on the brain? JAMA. 1996 Sep 25;276(12):954–954. [PubMed] [Google Scholar]
  9. Gronwall D., Wrightson P. Cumulative effect of concussion. Lancet. 1975 Nov 22;2(7943):995–997. doi: 10.1016/s0140-6736(75)90288-3. [DOI] [PubMed] [Google Scholar]
  10. Guterman A., Smith R. W. Neurological sequelae of boxing. Sports Med. 1987 May-Jun;4(3):194–210. doi: 10.2165/00007256-198704030-00004. [DOI] [PubMed] [Google Scholar]
  11. Holzgraefe M., Lemme W., Funke W., Felix R., Felten R. The significance of diagnostic imaging in acute and chronic brain damage in boxing. A prospective study in amateur boxing using magnetic resonance imaging (MRI). Int J Sports Med. 1992 Nov;13(8):616–620. doi: 10.1055/s-2007-1024576. [DOI] [PubMed] [Google Scholar]
  12. Hugenholtz H., Stuss D. T., Stethem L. L., Richard M. T. How long does it take to recover from a mild concussion? Neurosurgery. 1988 May;22(5):853–858. [PubMed] [Google Scholar]
  13. Kelly J. P., Nichols J. S., Filley C. M., Lillehei K. O., Rubinstein D., Kleinschmidt-DeMasters B. K. Concussion in sports. Guidelines for the prevention of catastrophic outcome. JAMA. 1991 Nov 27;266(20):2867–2869. doi: 10.1001/jama.266.20.2867. [DOI] [PubMed] [Google Scholar]
  14. Kelly J. P., Rosenberg J. H. The development of guidelines for the management of concussion in sports. J Head Trauma Rehabil. 1998 Apr;13(2):53–65. doi: 10.1097/00001199-199804000-00008. [DOI] [PubMed] [Google Scholar]
  15. Leclerc S., Herrera C. D. Sport medicine and the ethics of boxing. Br J Sports Med. 1999 Dec;33(6):426–429. doi: 10.1136/bjsm.33.6.426. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Lundberg G. D. Brain injury in boxing. Am J Forensic Med Pathol. 1985 Sep;6(3):192–198. doi: 10.1097/00000433-198509000-00004. [DOI] [PubMed] [Google Scholar]
  17. Lundberg G. D. Let's stop boxing in the Olympics and the United States Military. JAMA. 1994 Jun 8;271(22):1790–1790. [PubMed] [Google Scholar]
  18. Maroon J. C., Lovell M. R., Norwig J., Podell K., Powell J. W., Hartl R. Cerebral concussion in athletes: evaluation and neuropsychological testing. Neurosurgery. 2000 Sep;47(3):659–672. doi: 10.1097/00006123-200009000-00027. [DOI] [PubMed] [Google Scholar]
  19. Morrison R. G. Medical and public health aspects of boxing. JAMA. 1986 May 9;255(18):2475–2480. [PubMed] [Google Scholar]
  20. O'Connor F., Tucker J. B. Boxing: the preparticipation evaluation. Mil Med. 1991 Aug;156(8):391–395. [PubMed] [Google Scholar]
  21. Pearn J. Boxing, youth and children. J Paediatr Child Health. 1998 Aug;34(4):311–313. doi: 10.1046/j.1440-1754.1998.00231.x. [DOI] [PubMed] [Google Scholar]
  22. Ryan A. J. Intracranial injuries resulting from boxing. Clin Sports Med. 1998 Jan;17(1):155–168. doi: 10.1016/s0278-5919(05)70070-3. [DOI] [PubMed] [Google Scholar]
  23. Ryan A. J. Intracranial injuries resulting from boxing: a review (1918-1985). Clin Sports Med. 1987 Jan;6(1):31–40. [PubMed] [Google Scholar]
  24. Saunders R. L., Harbaugh R. E. The second impact in catastrophic contact-sports head trauma. JAMA. 1984 Jul 27;252(4):538–539. [PubMed] [Google Scholar]
  25. Sawauchi S., Murakami S., Tani S., Ogawa T., Suzuki T., Abe T. [Acute subdural hematoma caused by professional boxing]. No Shinkei Geka. 1996 Oct;24(10):905–911. [PubMed] [Google Scholar]
  26. Schmidt-Olsen S., Jensen S. K., Mortensen V. Amateur boxing in Denmark. The effect of some preventive measures. Am J Sports Med. 1990 Jan-Feb;18(1):98–100. doi: 10.1177/036354659001800117. [DOI] [PubMed] [Google Scholar]
  27. Swartzberg D. Air Force Academy ends mandatory boxing activity. JAMA. 1995 Sep 13;274(10):784–784. [PubMed] [Google Scholar]
  28. Warburton N. Freedom to box. J Med Ethics. 1998 Feb;24(1):56–60. doi: 10.1136/jme.24.1.56. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from British Journal of Sports Medicine are provided here courtesy of BMJ Publishing Group

RESOURCES